How long for not sitting after fat grafting to the hips? (Photos)

Question

I want a really subtle bbl? Mostly to the hips not the butt. Does the no sitting rule still apply? I am a flight attendant so I have to sit for taxi, take off and landing. How long would I need off work?

Emmanuel De La Cruz, MD · Answer

Hello NICOLE416, 
It’s a pleasure to answer your questions! You seem to be a good candidate for VASER Liposuction and fat transfer to the hips and buttocks (Brazilian Butt Lift (BBL). Plastic surgeons have different post-operative protocols customized for every patient to achieve BBL optimal results. Most of my patients resume desk-type employment and regular activities, one week after BBL procedure. I typically suggest them to avoid sitting at least the first 8 weeks after surgery. Putting pressure on their buttocks by sitting down or laying on it, especially for long periods of time, can stiffen, deform and even cause the transplanted fat cells to reabsorb. In the case you can’t absolutely elude sitting in a plane because of your job, I recommend you sitting in a modified position, placing a bolster or rolled-up towel under the back of the thighs while sitting down, as to avoid significant pressure. Also, there is a variety of post BBL surgery support cushions available on the market. Moreover, your surgeon may prescribe you an anti-coagulant medication to prevent a deep venous thrombosis when you travel, especially for long flights. Good luck and may God bless you! Dr. De La Cruz.

Sacha Obaid, MD · Answer

Thank you for your question! For my patients having a BBL procedure, I recommend they stay completely off of their buttocks for the first 10 days post surgery, then they can start sitting using the BBL pillow for 3 additional weeks. I recommend taking 10 days off of work. I also recommend consulting with a board certified plastic surgeon. Best of luck!

Yannis Alexandrides, MD, FACS · Answer

If it's on the side of the hips then sitting down shouldn't be a problem, however pressure on the hips for a fat graft to the buttocks should be avoided for the first two weeks with the aim of reducing this pressure for the first 6 weeks.

Kenneth Hughes, MD · Answer

Always ask your surgeon as this will depend upon surgeon preference and the specifics of your surgery.
Most of my patients take off 7 to 10 days. Anything earlier is probably pushing the limit, but some of my patients have returned to light work after 5 days.
In addition, I tell my BBL patients to minimize sitting.  If they have to sit, it is critical that every 30 minutes or an hour that patients get up and stand for a few seconds to take the pressure off.   This reduces the chance for fat necrosis.  After 6 weeks the fat has revascularized, and you have a very good idea of your final results.  You will have to take it easy when returning to work with the heavy lifting.

Kenneth Hughes, MD, Board Certified Plastic Surgeon
Los Angeles, CA

Donovan Rosas, MD · Answer

Pressure recommendations will vary from physician to physician. The best advice is to discuss with your surgeon and adhere to his/her recommendations.
Offloading is crucial. Excess pressure can affect the viability of the nascent fat grafts. 
In my practice we provide compression garments this is combined with Reston foam and a custom tailor to ensure appropriate fit. With regards to pillows, the "Booty Buddy" is most popular but there are many available alternatives.
However, the best pressure is no pressure. I have found that pillows are often times taken as license to sit. I recommend patients strictly avoid direct pressure for at least 2 weeks followed by progressive incremental increases (with a goal of 1 hour uninterrupted by 1 month post op). You may have some flexibility as your graft target area is hips rather than buttocks. However, this is best discussed with your operating surgeon.
As always, discuss your concerns with your board certified plastic surgeon (ABPS).

Kevin Tehrani, MD, FACS · Answer

Thank you for your question and posting appropriate pictures. You seem to be great candidate for fat grafting. I require my patients not to sit on their bum for 2 weeks after surgery. Having said that, it seems where you want grafting is not exactly where you would sit. In most cases I recommend taking 1 week off from work. You would need a consult for precise recommendations either in person or via Skype or FaceTime.

How long for not sitting after fat grafting to the hips? (Photos)

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